Ind. Code § 25-27.5-6-5
Information required
Redline — January 1, 2018 → current.View current text →
Current — January 1, 2023
As of January 1, 2018
Sec. 5. (a) Before initiating practice the supervising physician and the physician assistant must submit, on forms approved by the board, the following information:
Sec. 5. (a) Before initiating practice the collaborating physician and the physician assistant must submit, on forms approved by the board, the following information:
(1) The name, the business address, and the telephone number of the supervising physician.
(1) The name, the business address, and the telephone number of the collaborating physician.
(2) The name, the business address, and the telephone number of the physician assistant.
(2) The name, the business address, and the telephone number of the physician assistant.
(3) A brief description of the setting in which the physician assistant will practice.
(3) A brief description of the setting in which the physician assistant will practice.
(4) Any other information required by the board.
(4) Any other information required by the board.
(b) A physician assistant must notify the committee of any changes or additions in practice sites or supervising physicians not more than thirty (30) days after the change or addition.
(b) A physician assistant must notify the committee of any changes or additions in practice sites or collaborating physicians not more than thirty (30) days after the change or addition.
Official source: Indiana General Assembly. Reproduced from public-domain Indiana statutes; confirm against the official source for the current text. Not legal advice.